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Home My WebLink AboutXR2023-1159 - Permits��WpoRr City of Newport Beach IIIIII��I�I��IIIIIIIII�III�I��IIII II Community Development Department- Building Division X R 2 0 2 3 1 1 5 9 COMB Permit:XR2023-1159 y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: Permit Counter Phone: (949) 718-1888 Issued Date : 05/05/2023 newportbeachca.gov/civic Inspection Area : 8 qG%00.N� Combination Type - Work Class - Repair I N I (art r— a s N--Pi` ez/V 1 fi PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address : 304 CATALINA DR Legal Dose : N TR 444 BILK LOT 12 Description: DUPLEX T/O (E) COMP SHINGLE ROOFING. INSTALL (N) GAF COMPOSITION SHINGLES W/ 2-LAYERS 15# FELT UNDERLAYMENT. 18 S;QUARES Owner: WOODCO INVESTMENT CO INC Contractor: VICTOR O LAREY Architect Address : Address : 1742 PINE ST Address NEWPORT BEACH, CA 92659 HUNTINGTON BEACH, CA 92648 Phone : Phone : (714) 305-4955 Phone Con State Lie : 514239 State Lie Lie Expire : 07/31/2023 Applicant: VICTOR O LAREY Bus Lie: BT30058476 Engineer Address: 1742 PINE ST Bus Lie Expire: 03/31/2024 Address HUNTINGTON BEACH, CA 92648 Phone: (714) 305-4955 Workers' Compensation Insurance Phone: Carrier: STATE COMPENSATION INSURANCE FUND Owner/Builder: Policy No: 1868014 Designer Address : W. C. Expire : 11/23/2023 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $12,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U,R-3 No of Units : 2 Alteration sq. ft. Bldg : Bldg Height : No of Stories: 1 Added/New sq. ft. Garage : 0 TOTAL sq. ft. Building Setbacks : Front: 10, Side: 4, Side: 4, Rear: 5 Flood Zone : X Use Zone : R-2 - Two -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: LIQUEFACTION OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items) 3oution 7031.5, Business and Professions Code: Any city or county That requires a permit to construct, alter. improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for in permit to file a signed statement that he or she is licansod pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 'rofessions Code) or That he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 3 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not Intended proffered for sale (Section 7044, Iusiness and professions Code: the Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the nprovemenls are not Intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or nproved for the purpose of sale)- 3 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not pply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).. I I am exempt from licensure under the Contractors' State License Law for the following reason: iy my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot logalli ell a structure that I have built as an ownar-builder if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the. applicable law, Section 7044 of the Business and 'rofessions Code, isavailable upon request when this application is submitted or at the following Web site:http:llwww.leginfo.ca.govlcalaw.html. signature of Property Owner or Authorized Agent _ Date ACENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am Ilcensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3of the Business and Profess) s de, and m. rise is in full force nd effect. License Class License No Date �- .7 — ? _ Contractor Signature C/ VORKERS' COMPENSATION DECLARATION ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS (6100,000). IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, hereby affirm under penalty of perjury one of the following declarations: I I have and will maintain a certificate of consent to salt insure for workers' compensation, issued by the Director of industrial Relations as provided for by Section 3700 of the Labor Code, for th erformance of the work for which this permit is issued. Policy No, have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' ranee carrier and policy number are: ne of Agent certify that. in the performance of the , if I should become suliIAA 14the wq of Applicant Policy Number Date which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and npensalion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Z _ )ECLARATION REGAWDING CONSTRUCTION LNG AGENCY hereby affirm under penalty of perjury that there s a construction lending agency for the performance of the work forwhich this permit is issued (Section 3097, Civil Code). _enders Name Lender's Address 3y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is correct. I agree to comp:r ml:1 all applicable city and county D direness and state laws relating to building construction. I &a:Lc, 17e mp.cssnt3tives of this city or county t t the she e-1 ntified property for inspection purposes. Signature of Prope.ty Ov.ner or Authorized Agent / Print Property Owner's or Authorized Agent's Name le %O, AC, I ON DATE. BY 3 DECLARATION OF CONILIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY j REGULATIONS PART 61 OF TITLE 40 AND AQNID RULE PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO _._ ... _ CAF..._1C_. _.. P€RMIT EtLFL.� .__.._...._._........._____.__ -GTPA ___MCQ_VA_D PERMIT EXTENDED I IaQMD ^ PEWWTF(hAL _ /, /EE SBE5TOS NOUF ( NIS NOfyA�P/j.}LICAB{E 'r0 OCCUPCATEOE DGCUPANCYISSUEC V 1 S1 `/Z� /// � ROF05ED DEMQi ///��"'/� SIGNATURE: / ;